The comparison of Proseal laryngeal mask airway and endotracheal tube in patients undergoing laparoscopic surgeries under general anaesthesia
2011

Comparing Proseal Laryngeal Mask Airway and Endotracheal Tube in Laparoscopic Surgeries

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Namita Kumar Aditya Saraswat, Abhijeet Mishra, Amrita Gupta, Gyan Saurabh, Uma Srivastava

Primary Institution: Lady Hardinge Medical College, New Delhi, India

Hypothesis

Is the Proseal laryngeal mask airway (PLMA) as effective as the endotracheal tube (ETT) for airway management in laparoscopic surgeries?

Conclusion

The Proseal laryngeal mask airway is a safe and effective alternative to the endotracheal tube for managing airways in laparoscopic surgeries.

Supporting Evidence

  • The PLMA had an 86.67% success rate for first attempt insertion.
  • The mean time for successful placement was 15.77 seconds for PLMA and 16.93 seconds for ETT.
  • No failed insertions were reported in either group.
  • Oropharyngeal seal pressure for PLMA was 35 mm Hg with no audible leak.
  • Sore throat incidence was lower in the PLMA group (10%) compared to the ETT group (20%).

Takeaway

Doctors compared two ways to help patients breathe during surgery. They found that one method, the Proseal mask, worked just as well as the traditional tube.

Methodology

This was a prospective randomized study involving 60 adult patients undergoing laparoscopic surgeries, comparing the efficacy of PLMA and ETT.

Potential Biases

Potential bias due to the experience level of the anaesthesiologists performing the insertions.

Limitations

The study excluded patients with anticipated difficult airways and other specific health conditions.

Participant Demographics

Adult patients aged 20-65 years, ASA physical status grade I and II.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/0019-5049.79891

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